Intra-abdominal emergencies Flashcards
1
Q
Most common artery causing acute mesenteric ischemia?
A
SMA
2
Q
Treatment of acute mesenteric ischemia?
A
IVF, vasopressors. Abx including anaerobes. Anticoagulation. Surgery.
3
Q
Grade intra-abdominal hypertension.
A
Nl = 5-7mmHg I= 12-15mmHg. II=16-20mmHg. III=21-25mmHg. IV=>25mmHg.
4
Q
Definition of abdominal compartment syndrome?
A
Intra-abdominal hypertension >20mmHg (Grade 3+), or any new organ dysfunction w/o other cause w/ IAH.
5
Q
Goal abdominal perfusion pressure?
A
> 60 (mortality benefit)
6
Q
Treatment of acute cholangitis?
A
ERCP is gold standard. Percutaneous Transhepatic Cholangiography w/ catheter placement is an option; needs to stay in place for 6 weeks. No more emergent surgery.
